NPI Code Detail JSON Logo

1215216239 NPI number — KRYSTLE ANN REED FNP-BC

NPI Number: 1215216239
Health Care Provider/Practitioner: KRYSTLE ANN REED FNP-BC

Information about “1215216239” NPI (KRYSTLE ANN REED FNP-BC) exists in 1215216239 in HTML format HTML  |  1215216239 in plain Text format TXT  |  1215216239 in PDF (Portable Document Format) PDF  |  1215216239 in an XML format XML  formats.

NPI Number : 1215216239 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215216239",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REED",
    "FirstName": "KRYSTLE",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MILLER",
    "OtherFirstName": "KRYSTLE",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "102 GRANDE CTR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SULLIVAN",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63080-1266",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "573-468-4455",
    "MailingAddressFaxNumber": "573-468-4451",
    "FirstLinePracticeLocationAddress": "102 GRANDE CTR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SULLIVAN",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63080-1266",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-468-4455",
    "PracticeLocationAddressFaxNumber": "573-468-4451",
    "EnumerationDate": "08/08/2011",
    "LastUpdateDate": "07/04/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "2008023052",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "2011026804",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.